| NPI | 1760674535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2011-00521) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 50617) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2012-05-03 |